Katy

After four years of a purple rash which came and went, Katy was diagnosed two years ago with urticarial vasculitis. She has been managing it with steroids but is due to start a new drug, dapsone.

Katy is used to medical procedures, having had treatment for eczema and nasal polyps when she was growing up and more recently for repeated bladder infections. Six years ago, a hot, purple rash appeared under her skin and quickly spread all over her body. Katy was admitted to hospital for five days, treated with steroids, and discharged on the assumption she had had some sort of allergic reaction. When the same thing happened again, she was referred to dermatology.

Investigations, including a biopsy, suggested it was eczema again, but Katy felt this was something different. She describes it being like a demo in her body rather than on her skin. There is no pattern to how it comes and goes, and it is unaffected by creams, clothing or diet – just one day it;ll decide What Katy and her friends refer to as the rash; can come with a temperature, making her shake and feel floore until she takes steroids.

Katy and her mum tried to find out themselves what might be wrong and what treatment might help. They felt she had urticarial vasculitis, and she transferred to a new dermatology department two years ago so she could try light treatment. Although this particular treatment was unsuccessful, Katy was pleased that the new dermatologist agreed she has urticarial vasculitis.

Katy became very unwell when the rash; appeared at the start of the 2020 COVID-19 lockdown. She says her GP was reluctant to prescribe the usual steroids and, although her dermatologist said it would be okay on this occasion, they also recommended she start the drug dapsone to suppress her immune system. This needs regular blood tests and, at the time of interview, Katy is waiting to find out whether she will get these at her GP surgery or will have to travel to the hospital.

Katy accepts there will never be a miracle cure and, although she finds the rash; annoying, she has learnt to live with it. She finds working takes her mind off it and appreciates the support she has had from work for attending appointments. Katy says she didn’t like to disagree with doctors at first but would now suggest that people keep trying for a second opinion if something is wrong and it’s not what they say it is

Katy knew that her symptoms were different from eczema. She says to tell doctors “Exactly how you feel” and, if you don’t think what they’re saying is right, get a second opinion.

Age at interview 29

Gender Female

Age at diagnosis 27

When her vasculitis rash appears, Katy hates that people ask what she has or hasn’t done differently.

Age at interview 29

Gender Female

Age at diagnosis 27

Katy has urticarial vasculitis. She experienced two dermatology services as “completely different.”

Age at interview 29

Gender Female

Age at diagnosis 27

When Katy’s vasculitis rash appears, “I probably get angry for five minutes and then I’m over it.”

Age at interview 29

Gender Female

Age at diagnosis 27

Katy took photos to show doctors that the rash which kept coming back wasn’t eczema.

Age at interview 29

Gender Female

Age at diagnosis 27

Katy knew that her symptoms were different from eczema. She says to tell doctors Exactly how you feel and, if you don’t think what they’re saying is right, get a second opinion.

Age at interview 29

Gender Female

Age at diagnosis 27

Katy took photos to show doctors that the rash which kept coming back wasn’t eczema.

Age at interview 29

Gender Female

Age at diagnosis 27

When Katy’s vasculitis rash appears, I probably get angry for five minutes and then I’m over it.

Age at interview 29

Gender Female

Age at diagnosis 27

When her vasculitis rash appears, Katy hates that people ask what she has or hasn’t done differently.

Age at interview 29

Gender Female

Age at diagnosis 27

Katy has urticarial vasculitis. She experienced two dermatology services as completely different.

Age at interview 29

Gender Female

Age at diagnosis 27